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Family Registration
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First Name
*
Last Name
*
Postal Address
*
Postal Code
Contact Telephone Number
(Please include country and area code)
Contact Fax Number
(Please include country and area code)
ICQ Number
Email Address
*
Personal Web Page
Have children under age of 2
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Yes
No
Single Parent
*
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Yes
No
Country Of Residence
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Select One
Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Barbados
Belarus
Belgium
Bermuda
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Cote dIvoire
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
England (UK)
Equatorial Guinea
Estonia
Finland
France
French Guiana
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guernsey
Guyana
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nepal
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Northern Ireland (UK)
Norway
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
San Marino
Saudi Arabia
Scotland (UK)
Senegal
Serbia and Montenegro
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Suriname
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Wales (UK)
Yemen
Zambia
Zimbabwe
State / Province
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Select One
Family Nationality
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Albania
Algeria
Andorra
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bangladesh
Barbados
Belarus
Belgium
Bermuda
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Bulgaria
Cameroon
Canada
Chile
China
Colombia
Congo - Democratic Republic
Congo - Republic of
Costa Rica
Cote dIvoire
Croatia
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
England (UK)
Equatorial Guinea
Estonia
Finland
France
French Guiana
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guernsey
Guyana
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Mozambique
Namibia
Nepal
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Northern Ireland (UK)
Norway
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
San Marino
Saudi Arabia
Scotland (UK)
Senegal
Serbia and Montenegro
Seychelles
Singapore
Slovak Republics
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Suriname
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.S.A.
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Venezuela
Vietnam
Wales (UK)
Yemen
Zambia
Zimbabwe
Number of Children
Select One
0
1
2
3
4
5
6
7
8
9
Children Ages
(Please seperate ages with a comma)
City Size
*
Select One
Large City
Medium City
Town
Small Town
Country Village
The following Languages are spoken
*
(Hold done the CTRL key for multiple selections)
Afrikaans
Albanian
American Sign Language (ASL)
Arabic
Armenian
Bahasa Malaysia (Malay)
Bangala
Bavarian
Bengali
Braille
Bulgarian
Cantonese
Croatian
Czech
Danish
Dutch
Egyptian
English
Estonian
Finnish
Flemish
French
German
Greek
Hebrew
Hungarian
Icelandic
Italian
Japanese
Korean
Latin
Lithuanian
Macedonian
Maltese
Mandarin
Mongolian
Norwegian
Polish
Portuguese
Romanian
Russian
Sardinian
Scots
Serbian
Slovak
Spanish
Swedish
Thai
Turkish
Ukranian
Viennese
Vietnamese
Welsh
Yiddish
Religion
*
Select One
Adventist
African Methodist Episcopal-Zion
Al Qamishli
Alawite
Albanian Orthodox
Anglican
Animist
Armenian Apostolic
Armenian Orthodox
Atheist
Baha'i
Baptist
Brethren
Buddhism
Bulgarian Orthodox
Calvinist
Chondogyo
Christian - Reformed Church
Christian Orthodox
Christian Science
Church of Christ
Church of Scientology
Confucianism
Congregationalist
Coptic Christian
Daoism
Druze
Eastern Orthodox
Episcopalian
Evangelical Alliance
Evangelical Lutheran
Evangelical Protestant
Evangelist Church
Greek Orthodox
Gregorian-Armenian
Hinduism
Islamic
Jehovah's Witness
Jewish
Kimbanguist
Latter-Day Saints
Lutheran
Mennonite
Messianic Jewish
Methodist
Moravian
Mormon
Muslim
New Apostolic
No Religion
Non-denominational
Pagan Practices
Parsi
Pentecostal
Presbyterian
Protestant
Quaker
Rastafarian
Roman Catholic
Romanian Orthodox
Russian Orthodox
Seventh Day Adventist
Seventh Day Baptist
Shi'a
Sikh
Taoist
United Free Church
Word of Life
Zoroastrian
Do you practice your religion
*
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Yes
No
Family Image (.JPG Only)
Have Smoker in the Family
*
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Yes
No
Family Falls in the Age Group
*
Select One
20 Something Family
30 Something Family
40 Something Family
50 Something Family
60 Something Family
Housework Done by the Family
*
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Yes
No
Require Aupair Earliest Starting Date
*
Select One
Feb 2023
Mar 2023
Apr 2023
May 2023
Jun 2023
Jul 2023
Aug 2023
Sep 2023
Oct 2023
Nov 2023
Dec 2023
Jan 2024
Feb 2024
Mar 2024
Apr 2024
May 2024
Jun 2024
Jul 2024
Aug 2024
Sep 2024
Oct 2024
Nov 2024
Dec 2024
Jan 2025
Require Aupair Latest Starting Date
*
Select One
Feb 2023
Mar 2023
Apr 2023
May 2023
Jun 2023
Jul 2023
Aug 2023
Sep 2023
Oct 2023
Nov 2023
Dec 2023
Jan 2024
Feb 2024
Mar 2024
Apr 2024
May 2024
Jun 2024
Jul 2024
Aug 2024
Sep 2024
Oct 2024
Nov 2024
Dec 2024
Jan 2025
Shortest Period Require AuPair for
*
Select One
1 month
2 months
3 months
4 months
5 months
6 months
9 months
12 months
18 months
Longest Period Require AuPair for
*
Select One
1 month
2 months
3 months
4 months
5 months
6 months
9 months
12 months
18 months
Require Au Pair of Gender
*
Select One
Either
Female
Male
Require Au Pair to Live In or Out
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Select One
Live In
Live Out
Either
Currency and Weekly Salary Offering
USD
GBP
EUR
CHF
CAD
AUD
Expected Weekly Hours
Hours
Please give a brief job description
No longer than 250 characters
Family Reference
"Dear Aupair" Message
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